If not, adding them is one of the highest-impact changes you can make for both probiotic efficacy and overall metabolic health
Most of the time, you can keep taking your GLP-1 medication as usual before surgery, according to guidance issued in 2024 by the American Society of Anesthesiologists, the American Gastroenterological Association, the American Society for Metabolic and Bariatric Surgery, the International Society of Perioperative Care of Patients with Obesity, and the Society of American Gastrointestinal and Endoscopic Surgeons
Mechanistically, exercise-activated AMPK modulates ACC through dual pathways, which phosphorylate ACC to inactivate it and downregulate ACC gene expression, thereby decreasing malonyl-CoA production
The mechanisms underlying this effect remain unclear, but neuroendocrine regulation of the aforementioned brain areas may play an important role [86]
Journal of Pediatric Psychology 47 , 237255 (2022)